- City of New York (New York, NY)
- …New York employees serving in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY INDICATE ... to gather information relevant to the investigation of the claim ; 13) Investigate, identify, and report fraudulent claims...in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this… more
- CVS Health (Salem, OR)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for ... handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication… more
- The Hartford (Naperville, IL)
- …theirs, too. Join our team as we help shape the future. The Claim Specialist role is crucial for handling claims within the Major Case team, specifically for ... Specialist Claims - CH07DE We're determined...and Life Science Elite. This position, being the highest claim handling designation within the Liability Major case team,… more
- Travelers Insurance Company (Frankfort, KY)
- …Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims ... management and evaluation of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations and strategies to… more
- Travelers Insurance Company (Reading, PA)
- …negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- Travelers Insurance Company (Bismarck, ND)
- …Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- The Hartford (Lake Mary, FL)
- Specialist Claims - CH07DESpecialist Claims CA - CH07DN We're determined to make a difference and are proud to be an insurance company that goes well beyond ... Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims Specialist...trials and mediations as necessary. + Contributing to broader claim and enterprise goals by participating in audits, projects… more
- AON (Fort Washington, PA)
- Aon Is Looking For An Underwriting Referral and Claim Specialist ! This is an exciting opportunity for an Operations Specialist II, who will report directly ... Email/Correspondence teams + Responsible for sending 1st Report of Claims to carrier partner for Healthcare Individual and Healthcare...2562498 Aon Is Looking For An Underwriting Referral and Claim Specialist ! This is an exciting opportunity… more
- CVS Health (Augusta, ME)
- …And we do it all with heart, each and every day. **Position Summary** The **Senior Claims Benefit Specialist ** will review and adjust SF ( _self-funded_ ), ... claims . They will adjudicate complex, sensitive, and/or specialized claims in accordance with claim processing guidelines....every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- City National Bank (Newark, DE)
- *PAYMENTS CLAIM SPECIALIST * WHAT IS THE OPPORTUNITY? The Payment Claims Specialist is responsible for the investigation and processing of payment fraud ... identification of miss/near miss opportunities etc. A successful Payment Claim Specialist will be able to navigate...of actions as needed. * Perform quality checks of claims for accuracy and feedback for the claim… more
- CVS Health (Plymouth, MN)
- …challenging role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/stop loss, data analytics, provider and broker ... and external stakeholders and the stop loss administrators. Managing stop loss claim filings, you will reconcile and resolve discrepancies between the amount… more
- CenterLight Health System (NY)
- JOB PURPOSE: The Claim Appeals and Audit Specialist will play a pivotal role in enhancing the efficiency and effectiveness of the claims department by timely ... accurate processing of claims appeals and performing claims audit, ensuring payment integrity and compliance with all...to determine if system or procedural changes could enhance claim workflow and efficiency. + Analyze patient and medical… more
- Travelers Insurance Company (Brookfield, WI)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- CVS Health (Montgomery, AL)
- …+ Distributes work assignment daily to junior staff. + Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for ... handle customer service inquiries and problems. **Additional Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication… more
- CRC Insurance Services, Inc. (ID)
- …and makes recommendation for additional activity as appropriate. 4. Determine where new loss claims should be reported. 5. Manage all claim documentation. 6. Use ... the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately. 7. Analyze claim coverage with insurance carriers to… more
- CRC Insurance Services, Inc. (Salem, OR)
- …the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately. 5. Analyze claim coverage. 6. Anticipate and meets all ... of America) **Please review the following job description:** Analyzes and processes claims by gathering information, drawing conclusions. tracking and managing the … more
- The Hartford (CA)
- …to ensure our internal and external customers are kept informed. Responsibilities: + The MCU Claim Specialist will handle claims in the Western United States ... Specialist Claims - CH07DE We're determined...manage the investigation, litigation, disposition and settlement of specialized claims , in compliance with corporate claim standards… more
- NJM Insurance (Trenton, NJ)
- …evaluate the claim , and outlining and recommending an action plan to manage the claim . The WC Claims Specialist will work with and communicate to all ... NJM is seeking a Workers' Compensation (WC) Claims Specialist (I/II/Sr.) . This is...+ Administer the delivery of timely, appropriate, and accurate benefits + Evaluate the claim for potential… more
- The Hartford (Scottsdale, AZ)
- Specialist Claims - CH07DE We're determined to make a...our team as we help shape the future. This dynamic Claim Specialist role will be part of a team ... a motivated, self-starter who would enjoy a fast-paced collaborative work environment. The Claim Specialist will handle a caseload of complex, high-exposure … more
- Travelers Insurance Company (Richardson, TX)
- …1 **What Is the Opportunity?** This position is responsible for providing quality claim handling of low complexity General Liability claims from the first ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more